Trial Outcomes & Findings for European Active Surveillance Study of Women Taking Hormone Replacement Therapy (HRT) (NCT NCT00214903)

NCT ID: NCT00214903

Last Updated: 2014-12-01

Results Overview

Venous thromboembolism (VTE) linked to the use of continuous combined HRT containing both drospirenone (DRSP) and estradiol (E2) or to other oral continuous combined HRT preparations.

Recruitment status

COMPLETED

Target enrollment

30597 participants

Primary outcome timeframe

within 8.5 years

Results posted on

2014-12-01

Participant Flow

Overall, 31,321 patients were recruited for the EURAS HRT study. 724 patients were excluded due to protocol violations (e.g., patient agreed to participate but never started to use the new HRT preparation or continued to use a previously prescribed preparation).

Participant milestones

Participant milestones
Measure
DRSP/E2
Users of oral continuous combined preparations containing 2mg DRSP and 1mg estradiol
ooccHRT
Users of other oral continuous combined HRT preparations containing other progestogens
ooHRT
Users of oral but not continuous combined HRT preparations
Non-oral HRT
Users of non-oral HRT preparations
Overall Study
STARTED
10043
13384
4113
3057
Overall Study
COMPLETED
10043
13384
4113
3057
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

European Active Surveillance Study of Women Taking Hormone Replacement Therapy (HRT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DRSP/E2
n=10043 Participants
Users of oral continuous combined preparations containing 2mg DRSP and 1mg estradiol
ooccHRT
n=13384 Participants
Users of other oral continuous combined HRT preparations containing other progestogens
ooHRT
n=4113 Participants
Users of oral but not continuous combined HRT preparations
Non-oral HRT
n=3057 Participants
Users of non-oral HRT preparations
Total
n=30597 Participants
Total of all reporting groups
Age, Continuous
52.4 years
STANDARD_DEVIATION 6.4 • n=5 Participants
55.1 years
STANDARD_DEVIATION 6.9 • n=7 Participants
52.9 years
STANDARD_DEVIATION 8.3 • n=5 Participants
56.2 years
STANDARD_DEVIATION 7.7 • n=4 Participants
54.0 years
STANDARD_DEVIATION 7.3 • n=21 Participants
Sex: Female, Male
Female
10043 Participants
n=5 Participants
13384 Participants
n=7 Participants
4113 Participants
n=5 Participants
3057 Participants
n=4 Participants
30597 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
Europe
10043 participants
n=5 Participants
13384 participants
n=7 Participants
4113 participants
n=5 Participants
3057 participants
n=4 Participants
30597 participants
n=21 Participants

PRIMARY outcome

Timeframe: within 8.5 years

Population: The number of participants refers to the ITT study population. During the course of the study, women could for example stop hormonal treatment at any point of time. Therefore, the woman-years of exposure for each group are provided in addition.

Venous thromboembolism (VTE) linked to the use of continuous combined HRT containing both drospirenone (DRSP) and estradiol (E2) or to other oral continuous combined HRT preparations.

Outcome measures

Outcome measures
Measure
DRSP/E2
n=13 Women-years
Users of oral continuous combined preparations containing 2mg DRSP and 1mg estradiol
ooccHRT
n=31 Women-years
Users of other oral continuous combined HRT preparations containing other progestogens
ooHRT
n=9 Women-years
Users of oral but not continuous combined HRT preparations
Non-oral HRT
n=7 Women-years
Users of non-oral HRT preparations
Venous Thromboembolism (e.g., Deep Venous Thrombosis and Pulmonary Embolism)
24 participants
74 participants
21 participants
12 participants

PRIMARY outcome

Timeframe: within 8.5 years

Population: The number of participants refers to the ITT study population. During the course of the study, women could for example stop hormonal treatment at any point of time. Therefore, the woman-years of exposure for each group are provided in addition.

Arterial thromboembolism (ATE) linked to the use of continuous combined HRT containing both drospirenone (DRSP) and estradiol (E2) or to other oral continuous combined HRT preparations.

Outcome measures

Outcome measures
Measure
DRSP/E2
n=13 Women-years
Users of oral continuous combined preparations containing 2mg DRSP and 1mg estradiol
ooccHRT
n=31 Women-years
Users of other oral continuous combined HRT preparations containing other progestogens
ooHRT
n=9 Women-years
Users of oral but not continuous combined HRT preparations
Non-oral HRT
n=7 Women-years
Users of non-oral HRT preparations
Arterial Thromboembolism (e.g., Acute Myocardial Infarction and Stroke)
15 participants
95 participants
33 participants
23 participants

Adverse Events

DRSP/E2

Serious events: 707 serious events
Other events: 0 other events
Deaths: 0 deaths

ooccHRT

Serious events: 1998 serious events
Other events: 0 other events
Deaths: 0 deaths

ooHRT

Serious events: 576 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-oral HRT

Serious events: 508 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DRSP/E2
n=10043 participants at risk
Users of oral continuous combined preparations containing 2mg DRSP and 1mg estradiol
ooccHRT
n=13384 participants at risk
Users of other oral continuous combined HRT preparations containing other progestogens
ooHRT
n=4113 participants at risk
Users of oral but not continuous combined HRT preparations
Non-oral HRT
n=3057 participants at risk
Users of non-oral HRT preparations
Infections and infestations
Infectious diseases
0.12%
12/10043 • Number of events 12 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.21%
28/13384 • Number of events 28 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.19%
8/4113 • Number of events 8 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.29%
9/3057 • Number of events 9 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms, malignant and benign
0.91%
91/10043 • Number of events 91 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.9%
248/13384 • Number of events 248 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.5%
62/4113 • Number of events 62 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.9%
58/3057 • Number of events 58 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Blood and lymphatic system disorders
Diseases of the blood and bloodforming organs
0.01%
1/10043 • Number of events 1 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.05%
7/13384 • Number of events 7 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.05%
2/4113 • Number of events 2 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.03%
1/3057 • Number of events 1 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Endocrine disorders
Endocrine diseases
0.11%
11/10043 • Number of events 11 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.27%
36/13384 • Number of events 36 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.19%
8/4113 • Number of events 8 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.26%
8/3057 • Number of events 8 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Psychiatric disorders
Psychiatric and neurological disorders
0.50%
50/10043 • Number of events 50 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.84%
112/13384 • Number of events 112 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.80%
33/4113 • Number of events 33 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.0%
32/3057 • Number of events 32 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Eye disorders
Eye
0.13%
13/10043 • Number of events 13 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.24%
32/13384 • Number of events 32 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.29%
12/4113 • Number of events 12 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.33%
10/3057 • Number of events 10 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Ear and labyrinth disorders
Ear
0.14%
14/10043 • Number of events 14 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.24%
32/13384 • Number of events 32 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.22%
9/4113 • Number of events 9 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.23%
7/3057 • Number of events 7 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Cardiac disorders
Cardiovascular system
1.3%
135/10043 • Number of events 135 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
4.0%
542/13384 • Number of events 542 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
3.8%
155/4113 • Number of events 155 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
4.3%
130/3057 • Number of events 130 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Respiratory, thoracic and mediastinal disorders
Respiratory system
0.33%
33/10043 • Number of events 33 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.58%
78/13384 • Number of events 78 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.66%
27/4113 • Number of events 27 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.72%
22/3057 • Number of events 22 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Gastrointestinal disorders
Digestive system
0.90%
90/10043 • Number of events 90 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.8%
237/13384 • Number of events 237 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.7%
69/4113 • Number of events 69 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
2.2%
68/3057 • Number of events 68 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Skin and subcutaneous tissue disorders
Skin
0.07%
7/10043 • Number of events 7 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.18%
24/13384 • Number of events 24 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.12%
5/4113 • Number of events 5 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.16%
5/3057 • Number of events 5 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Musculoskeletal and connective tissue disorders
Muscoskeletal system & connective tissue
1.2%
117/10043 • Number of events 117 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
2.1%
285/13384 • Number of events 285 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
2.1%
85/4113 • Number of events 85 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
2.3%
70/3057 • Number of events 70 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Reproductive system and breast disorders
Genitourinary system
0.40%
40/10043 • Number of events 40 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.83%
111/13384 • Number of events 111 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.71%
29/4113 • Number of events 29 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
0.79%
24/3057 • Number of events 24 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
Injury, poisoning and procedural complications
Injury, poisoning, accidents, etc.
0.93%
93/10043 • Number of events 93 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.7%
226/13384 • Number of events 226 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
1.8%
72/4113 • Number of events 72 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.
2.1%
64/3057 • Number of events 64 • Information on adverse events was collected over a time period of 8.5 years.
Complete cohorts, as-treated population. All study participants were asked for adverse events at each follow-up.

Other adverse events

Adverse event data not reported

Additional Information

Juergen Dinger, MD, PhD

Center for Epidemiology and Health Research, Germany

Phone: +49 (0) 30 945 101 20

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place